ESTRO 2023 - Abstract Book

S2057

Digital Posters

ESTRO 2023

Poster (Digital): RTT education, training, advanced practice and role developments

PO-2287 A service evaluation to ascertain if the on-call Review Radiographer Triage system is effective.

R. Russell 1

1 Northampton General Hospital Trust, Radiotherapy & Oncology, Northampton, United Kingdom

Purpose or Objective Background and rationale

According to the Clinical Advice to Cancer Alliances for the Commissioning of Acute Oncology Services document, out- patients should have a pathway for rapid review and access to appropriate services or advice (Macmillan, 2017). This service evaluation will focus on assessing the effectiveness of the Triage Review Radiographer service that has been in place for approximately 12 months and see if it meets the service requirements of safely and effectively triaging the patients in a timely manner so that only the clinically necessary are redirected to the Oncology Emergency Assessment Bay for full assessment. Aim and objectives

Project Aims

To undertake a service evaluation to ascertain if the on-call Review Radiographer Triage system is effective as a standalone service.

Objectives: 1. To establish if the service successfully resolves patient adhoc treatment issues. 2.To ascertain the impact the triage service has the workload of the on-call doctor. 3.Identify any trends that require higher level of interventions.

Materials and Methods Methods

Narrative syntheses of quantitative methods model with retrospective data collection. This method has been selected as the literature search findings identified that, although there is no directly comparable research relating to this project aim, the general themes are supported as effective and robust. The Donabedian model of quality will underpin this evaluation (Donabedian, 2005; Moore et al., 2015)

Results Results / findings / outcomes

Objective 1 – The Radiographers found that they were able to manage 74% (n=117) of the interventions required without input from the external medics after the service implementation with 26% requiring management by the On-call, EAB, A&E, or GP.

Objective 2 - The findings from the data collection have shown that the rad-led triage service has reduced the radiotherapy workload of the On-call Doctor by 58% during the period of the study.

Objective 3 - Results indicated that there was an increased likelihood of requiring an intervention or triage associated with Patient Sex χ 2(1) = 12.344, p = <0.001 and Diagnosis χ 2(20) = 50.044, p =<0.001. They also suggested that there was an association that was statistically significant identified between Intervention Category and Diagnosis χ 2(80) = 102.995, p = .043.

Conclusion Conclusion and recommendations

At the completion of the project, based on the findings that the service is managing patients effectively (Objective 1), reducing the workload on the junior doctor team (Objective 2) and has identified three factors that may be areas for future (Objective 3), the service is of benefit to the patients, radiographers, and the junior doctors in this department. Keywords: Therapeutic Radiographer, Advanced Practice, Triage, Intervention, Assessment, Radiotherapy, Junior Doctor.

PO-2288 Design and delivery of a global health education program for radiation therapists in Cambodia.

M.T.B. Pawi 1 , L.H. Lim 1 , M.W.M. Koh 1 , S.Y. Sin 1 , P.L. Tan 1 , J.Y.X. Lin 1 , N.T.E.B.M. Anwar 1 , S.N.A.B. Rahim 1 , T.T. Ma 1 , E.P.P. Pang 1

1 National Cancer Centre Singapore, Division of Radiation Oncology, Singapore, Singapore

Purpose or Objective A co-learning collaboration between Calmette Hospital, Cambodia (the host community partner) and National Cancer Centre Singapore, SingHealth (the content partner) was established. An educational program was tailored to enhance knowledge and skills of radiation therapists in Cambodia.

Materials and Methods